| NPI | 1992172548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0013632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC0013632) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-11-06 |